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Claims Processing Assistant- Oncology

Henry Ford Health System
United States, Michigan, Troy
Apr 01, 2025

GENERAL SUMMARY



  • Department: Claims
  • Schedule: Full-time Days:
  • Location: Remote


Prepares and issues bills for reimbursement to individual and third party payers in an out-patient or medical office environment.

Responsibilities:



  • Prepares insurance claims for submission to third party payers and/or responsible parties.
  • Reviews claims for accuracy, including proper diagnosis and procedure codes.
  • Reviews claim rejections and communicates with payers to resolve billing issues.
  • Prepares and reviews routine billing reports. Recommends process improvements based on findings.
  • Responds to complex telephone and written inquiries from patients and/or third party payers and physician practices.



EDUCATION/EXPERIENCE REQUIRED:



  • High School diploma equivalency


MINIMUM QUALIFICATIONS



  • 1 year of applicable cumulative job specific experience required. - *Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. - Cardiology and prior authorization experience preferred.
  • Two years medical billing experience preferred
  • Oncology billing experience preferred. .

Additional Information


  • Organization: Henry Ford Ascension Medical Group MI
  • Department: Oncology Admin
  • Shift: Day Job
  • Union Code: Not Applicable

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